SNFs, Be Ready for Oct. HCPCS Level II Update

The Centers for Medicare & Medicaid Services (CMS) instructed contractors, Sept. 13, to update their lists of HCPCS Level II codes excluded from the consolidated billing provision of the Skilled Nursing Facility Prospective Payment System (SNF PPS). The update, required by changes to the coding system, adds the following three HCPCS Level II codes:

Code Description Effective
J9033 Injection, bendamustine HCl, 1 mg Oct. 11, 2011
Code Description Effective
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Jan. 1, 2011
J0894 Injection, decitabine, 1 mg Jan. 1, 2011

Medicare contractors will reprocess claims affected by this update, when brought to their attention.

See CMS Transmittal 2300 for complete details. An MLN Matters® article is also available.


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